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Villages Of Jackson Creek, The

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About Villages Of Jackson Creek, The

General Information

Legal Business NameVillages Of Jackson Creek LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 22, 2008 (9 years)
Capacity120
Residents105
Percent Occupied88%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Villages Of Jackson Creek, The

Villages Of Jackson Creek, The
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Missouri Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

December 14, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

September 3, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
BSomePotential for Minimal HarmHealth InspectionProvide housekeeping and maintenance services.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Villages Of Jackson Creek, The require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 45min
2hr 25min
ReportedExpected
CNA
55min
45min
ReportedExpected
LPN
40min
1hr 20min
ReportedExpected
RN
4hr 20min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 50min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

92.9%
95.0%
95.0%
95.0%
94.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.7%
90.6%
93.3%
91.9%
89.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
36.0%
48.1%
42.4%
47.1%
33.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of low risk long-stay residents who lose control of their bowels or bladder
22.2%
18.2%
25.5%
24.1%
27.0%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who received an antianxiety or hypnotic medication
15.7%
7.4%
13.5%
13.6%
15.4%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents whose ability to move independently worsened
7.5%
11.5%
5.2%
6.7%
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who received an antipsychotic medication
2.4%
9.3%
10.0%
15.1%
14.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
0.0%
0.0%
0.0%
8.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who self-report moderate to severe pain
7.7%
2.0%
0.0%
8.3%
6.9%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who lose too much weight
5.6%
4.7%
6.2%
3.7%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who have depressive symptoms
9.6%
3.9%
8.9%
10.0%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents with a urinary tract infection
3.7%
3.8%
1.7%
3.2%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents experiencing one or more falls with major injury
4.8%
3.4%
4.5%
3.3%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

96.8%
98.0%
97.9%
98.3%
74.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.9%
88.6%
88.6%
88.6%
74.7%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
62.2%
64.8%
66.3%
68.9%
66.5%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who made improvements in function
5.2%
4.3%
2.8%
2.7%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who self-report moderate to severe pain
1.3%
1.1%
2.5%
1.7%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who newly received an antipsychotic medication
1.0%
0.8%
1.3%
0.6%
1.4%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents with pressure ulcers that are new or worsened